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Individual
JOANN M PETERSON
Active
Individual
JOANN M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1352084082
KS
363LF0000X
Family Nurse Practitioner
45355
KS
363LW0102X
Women's Health Nurse Practitioner
44247
KS
Other
Enumeration date
12/18/2006
Last updated
09/11/2025
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